NPIMap

Organization Active NPI

Open MRI Diagnostics

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1598938862
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00026919 Issued in WA
Legal business name
OPEN MRI DIAGNOSTICS
Practice address
1116 E Westview CT
#A
Spokane, WA 99218-1384
Phone
(509) 455-6736
Fax
(509) 455-6737
NPI assigned
Apr 8, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renea Dehn
Title
Office Manager
Phone
(509) 464-7840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00026919 WA Primary
Clinical Pharmacology Physician 208U00000X MD00026919 WA
Interventional Pain Medicine Physician 208VP0014X MD00026919 WA

Addresses

Primary practice location

1116 E Westview CT
#A
Spokane, WA 99218-1384

Mailing address

1116 E Westview CT
#A
Spokane, WA 99218-1384
Phone (509) 455-6736

Other identifiers 2

IdentifierTypeStateIssuer
7200140MedicaidWA
G8856410OtherMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1598938862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 E WESTVIEW CT",
            "address_2": "#A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181384",
            "telephone_number": "509-455-6736",
            "fax_number": "509-455-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E WESTVIEW CT",
            "address_2": "#A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181384",
            "telephone_number": "509-455-6736",
            "fax_number": "509-455-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MRI DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "DEHN",
        "authorized_official_first_name": "RENEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-464-7840"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00026919",
            "primary": true
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "WA",
            "license": "MD00026919",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "MD00026919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200140",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G8856410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.